Indications for IVF includes:
Tubal Factor infertility
This includes blocked fallopian tubes due to prior pelvic infection, abdominal surgery, ruptured appendix; damaged tubes from surgical scarring and endometriosis; or from previous tubal ligation
Although reconstructive surgery may be a viable option for some women, success is drastically lower compared to IVF and the risk of an ectopic pregnancy (pregnancy located outside of the uterus) is much higher (5-20% risk)
Endometriosis
Endometriosis can cause infertility by distortion your pelvic anatomy, creating significant scar tissue which can impair capture of the egg at the time of ovulation. Due to its inflammatory process, it can also impair egg development, early embryo development and the ability of the embryo to implant in the uterine lining (known as endometrial receptivity)
Though surgical evaluation by laparoscopy may aid in treatment recommendations, this is not necessary to move on to IVF if you are suspected to have a poor prognosis for a non-IVF conception
Reproductive Immunology
If treatment with intrauterine insemination has failed, or the total motile sperm count in a post density gradient washed semen sample is below 5 million/ejaculate, IVF is often required
When the sperm count is low, manual fertilization of the retrieved eggs is performed (a procedure known as intracytoplasmic sperm injection- or ICSI)
Diminished Ovarian Reserve and Ovarian Failure
Women who have a lower quantity of eggs may need greater stimulation of their ovaries and IVF in order to maximize the chance of conceiving
Often, use of donor eggs will be required.
Ovulatory Dysfunction: For many women with ovulatory problems due to endocrine disorders including PCOS, hypogonadotropic hypogonadism, thyroid disorders, and high prolactin levels, treatment of the underlying disorder often helps to restore ovulation. When this fails, IVF is a good treatment alternative.
Unexplained Infertility
Although an infertility evaluation of both female and male partners demonstrates no abnormalities, IVF can often be both diagnostic and therapeutic and provides the valuable information about fertilization and embryo development to optimize the highest success rates.
Fertility Preservation
Cancer patients who required chemotherapy and/or radiation therapy which can pose a serious threat to future fertility can preserve their fertility through egg or embryo banking prior to gonadotoxic treatments
Recurrent Miscarriage
Any unwanted, spontaneous pregnancy loss prior to the 20th week of pregnancy.
Low AMH
AMH (Anti-mullerian hormone) is a protein made by the cells that surround each egg. It is produced the most during the small pre-antral stages. AMH stops producing as follicles grow and nearly no AMH is produced once a follicle hits 8mm in size.
Embryo Biopsy & PGT-A Testing
Routinely performed 7-10 days after a positive LH surge test, this test determines if the lining of the uterus is developing at the expected rate. Because a catheter is inserted into the uterus and a sample of the uterine lining is obtained, it is extremely important that you are not pregnant: this procedure has a 5% chance of disrupting an early pregnancy.
Egg Freezing
Donor Oocyte Program
Donor Egg or Oocyte Programs were established to assist couples whose female partner cannot produce eggs. In this program, a donor, known or unknown to the couple, volunteers to undergo a procedure similar to IVF.
Secondary Infertility
Secondary Infertility
Tubal Factor infertility
This includes blocked fallopian tubes due to prior pelvic infection, abdominal surgery, ruptured appendix; damaged tubes from surgical scarring and endometriosis; or from previous tubal ligation
Although reconstructive surgery may be a viable option for some women, success is drastically lower compared to IVF and the risk of an ectopic pregnancy (pregnancy located outside of the uterus) is much higher (5-20% risk)
Endometriosis
Endometriosis can cause infertility by distortion your pelvic anatomy, creating significant scar tissue which can impair capture of the egg at the time of ovulation. Due to its inflammatory process, it can also impair egg development, early embryo development and the ability of the embryo to implant in the uterine lining (known as endometrial receptivity)
Though surgical evaluation by laparoscopy may aid in treatment recommendations, this is not necessary to move on to IVF if you are suspected to have a poor prognosis for a non-IVF conception
Reproductive Immunology
If treatment with intrauterine insemination has failed, or the total motile sperm count in a post density gradient washed semen sample is below 5 million/ejaculate, IVF is often required
When the sperm count is low, manual fertilization of the retrieved eggs is performed (a procedure known as intracytoplasmic sperm injection- or ICSI)
Diminished Ovarian Reserve and Ovarian Failure
Women who have a lower quantity of eggs may need greater stimulation of their ovaries and IVF in order to maximize the chance of conceiving
Often, use of donor eggs will be required.
Ovulatory Dysfunction: For many women with ovulatory problems due to endocrine disorders including PCOS, hypogonadotropic hypogonadism, thyroid disorders, and high prolactin levels, treatment of the underlying disorder often helps to restore ovulation. When this fails, IVF is a good treatment alternative.
Unexplained Infertility
Although an infertility evaluation of both female and male partners demonstrates no abnormalities, IVF can often be both diagnostic and therapeutic and provides the valuable information about fertilization and embryo development to optimize the highest success rates.
Fertility Preservation
Cancer patients who required chemotherapy and/or radiation therapy which can pose a serious threat to future fertility can preserve their fertility through egg or embryo banking prior to gonadotoxic treatments
Recurrent Miscarriage
Any unwanted, spontaneous pregnancy loss prior to the 20th week of pregnancy.
Low AMH
AMH (Anti-mullerian hormone) is a protein made by the cells that surround each egg. It is produced the most during the small pre-antral stages. AMH stops producing as follicles grow and nearly no AMH is produced once a follicle hits 8mm in size.
Embryo Biopsy & PGT-A Testing
Routinely performed 7-10 days after a positive LH surge test, this test determines if the lining of the uterus is developing at the expected rate. Because a catheter is inserted into the uterus and a sample of the uterine lining is obtained, it is extremely important that you are not pregnant: this procedure has a 5% chance of disrupting an early pregnancy.
Egg Freezing
Donor Oocyte Program
Donor Egg or Oocyte Programs were established to assist couples whose female partner cannot produce eggs. In this program, a donor, known or unknown to the couple, volunteers to undergo a procedure similar to IVF.
Secondary Infertility
Secondary Infertility
Our Process:
In vitro fertilization (IVF) is one of the most well-known forms of assisted reproductive technologies where the eggs are retrieved by ultrasound guidance and fertilized by sperm in a laboratory dish. Eventually, the embryo is transferred back into the uterus. This treatment was originally designed to help women with blocked fallopian tubes be able to conceive, however it has become a useful treatment modality for a number of other indications.
Ovarian Stimulation
In a natural menstrual cycle, only one follicle continues to develop and contains a maturing egg in preparation for ovulation. During ovarian stimulation, injectable medications are administered daily in order to help stimulate the development and growth of multiple follicles. During this process, serial monitoring is performed through blood draws and ultrasounds in order to ensure you are responding to your medical protocol. Sometimes, medication doses must be adjusted to accommodate the rate of follicular growth. When the ultrasound and blood work suggests that the follicles have appropriately matured, a trigger shot with human Chorionic Gonadotropin (hCG) or a gonadotropin releasing hormone (GNRH) agonist is administered to push the eggs into their final stage of maturation.
The Egg Retrieval
The egg retrieval is scheduled for 35-36 hours after the trigger shot. Anyone undergoing a retrieval must be fasting to receive anesthesia, which will include conscious sedation. The procedure itself consists of ultrasound guided aspiration of the eggs from each follicle. The eggs are suctioned into a test tube containing medium which is transferred to the embryologist. During this time, the male partner must collect a sperm specimen (2-3 days abstinence) or thawed from a donor sample. Unless there is male factor infertility or you are opting for preimplantation genetic testing (PGT) of the embryos, conventional IVF is recommended. This means that the eggs and sperm are placed in a dish and incubated for 18-20 hours to allow fertilization to occur naturally. Alternatively, a technique called IntraCytoplasmic Sperm Injection (ICSI) can be performed by the embryologist, whereby selected sperm is injected into the egg, bypassing the need for sperm to penetrate the outer shell of the egg. When normal fertilization occurs, two pronuclei are observed (the nucleus of the sperm and egg, each containing a single copy of each of your chromosomes) under the microscope.
Embryo Culturing
The incubation process of the fertilized egg/developing embryo is termed embryo culture. Normally, a number of important nutrients secreted by the fallopian tubes and uterus help the fertilized egg to divide and develop into an embryo. In previous years, embryos were cultured until post-fertilization day 2-3, where cleavage-stage embryos (morula) were transferred back into the uterus. The day of retrieval is considered day 0. Now, with more reliable culture media, extended culture to day 5-6 is a more reliable test of viability and can help us measure embryo quality, based on its morphology. The greatest benefit of extended culture, is the increased implantation rate with a Day 5/6 blastocyst compared to a morula.
At this point in time, embryo biopsy is performed if doing PGT or collapsed and frozen for later transfer. At IVF Phoenix™, we mainly have opted for frozen embryo transfers, however the decision to transfer a fresh vs. frozen embryo will differ based on your specific clinical picture. You will be contacted with updates throughout this process to provide you with a fertilization report, and progression of your embryos to blastocyst stage.
Assisted Hatching:
Hatching from the shell (zona pellucida) of the blastocyst is a naturally occurring processed to allow the embryo to implant into the endometrium (the uterine lining). Assisted hatching refers to a range of lab techniques used to thin the zona or create an opening. Most commonly performed is laser-assisted hatching which is reported to yield better results. This technique helps to improve implantation rates and therefore pregnancy rates for select cases.
Indications for assisted hatching includes:
- Advanced maternal age, 37 + years old
- Two or more previously failed IVF cycles
- Embryos with a thick zona pellucida
- Poor embryo morphology
- Cytoplasmic fragmentation
- Embryo Biopsy
Risks of assisted hatching, although small, include damage to the embryo and multiple gestations (twins, triplets, etc.) though the increased risk of miscarriage has not been observed.
The Embryo Transfer
As mentioned above, the embryo transfer may involve a fresh or frozen embryo. In a fresh embryo transfer, you will return 5-6 days following your retrieval, and any remaining embryos are flash frozen and stored in a nitrogen tank for future use. In a frozen embryo transfer, all embryos are frozen on day 5-7 and you will return to the office at your next cycle to begin preparation of your uterine lining to prepare it for transfer. Depending on your situation and inflammation markers, this may require additional preparation before we recommend moving to a programmed FET cycle vs a modified natural cycle. Once the consistency and thickness of your lining is optimal, your embryo transfer is scheduled and the healthiest appearing embryo (or euploid embryo if PGT tested) is thawed and prepared for transfer.
The day of your embryo transfer, you will arrive to the clinic with a full bladder. A speculum is placed into your vagina, your cervix is cleared of any mucus and an ultrasound is used to help guide entry of the catheter containing the embryo close to the top of the uterus where the embryo is gently placed. The catheter is checked under the microscope by the embryologist to confirm correct placement of the embryo. This is where the waiting begins! You will return 5 days later for a blood draw to measure the pregnancy hormone hCG and progesterone. Then 11 days later after embryo transfer.
Embryo Transfer Guidelines, elective Single Embryo Transfer (eSET)
The ultimate goal of IVF is to maximize your chance of pregnancy, while minimizing your risk of multiple gestation (twins, triplets or higher order pregnancy). This means, the large majority of patients will only have one embryo transferred at a time. With improved embryologic techniques in the lab, pregnancy rates are significantly higher after blastocyst transfer. The primary reason for wanting lower rates of multiple gestations is the significantly increased rates of pregnancy related complications including miscarriage, premature delivery, long term disabilities in the child, gestational hypertension, gestational diabetes, preeclampsia, etc. Per ASRM guidelines, in patients >37 years of age who did not do PGT, or those at any age without a favorable prognosis, an additional embryo may be transferred. This decision will be made based on your individual clinical scenario.
Following your embryo transfer, best rest (is not recommended, as this has been shown to reduce pregnancy rates. You can continue to live life as you normally do with light exercise, intercourse, and well balanced nutrition. The only lifestyle change that is absolutely necessary, is continued supplementation with specific recommendations and your hormonal stimulation protocol!
ICSI
This assisted reproductive technique was developed to help bypass the need for sperm to penetrate the shell of the egg (called the zona pellucida). The primary indication for ICSI includes male factor infertility, as it significantly improves fertilization rates. Threshold semen parameters at IVF Phoenix™ includes sperm concentration <5 million/mL, motility <5%, and largely abnormal shape of the sperm. It is also indicated for preimplantation genetic testing (PGT), to help reduce contamination from other sperm when performing the embryo biopsy for genetic evaluation (because conventional insemination can result in extra sperm attaching to the outer shell of the egg) as well as for fertilization of cryopreserved eggs, since the freeze-thaw cycle causes the shell to harden, making it difficult for sperm to penetrate.
Ovarian Stimulation
In a natural menstrual cycle, only one follicle continues to develop and contains a maturing egg in preparation for ovulation. During ovarian stimulation, injectable medications are administered daily in order to help stimulate the development and growth of multiple follicles. During this process, serial monitoring is performed through blood draws and ultrasounds in order to ensure you are responding to your medical protocol. Sometimes, medication doses must be adjusted to accommodate the rate of follicular growth. When the ultrasound and blood work suggests that the follicles have appropriately matured, a trigger shot with human Chorionic Gonadotropin (hCG) or a gonadotropin releasing hormone (GNRH) agonist is administered to push the eggs into their final stage of maturation.
The Egg Retrieval
The egg retrieval is scheduled for 35-36 hours after the trigger shot. Anyone undergoing a retrieval must be fasting to receive anesthesia, which will include conscious sedation. The procedure itself consists of ultrasound guided aspiration of the eggs from each follicle. The eggs are suctioned into a test tube containing medium which is transferred to the embryologist. During this time, the male partner must collect a sperm specimen (2-3 days abstinence) or thawed from a donor sample. Unless there is male factor infertility or you are opting for preimplantation genetic testing (PGT) of the embryos, conventional IVF is recommended. This means that the eggs and sperm are placed in a dish and incubated for 18-20 hours to allow fertilization to occur naturally. Alternatively, a technique called IntraCytoplasmic Sperm Injection (ICSI) can be performed by the embryologist, whereby selected sperm is injected into the egg, bypassing the need for sperm to penetrate the outer shell of the egg. When normal fertilization occurs, two pronuclei are observed (the nucleus of the sperm and egg, each containing a single copy of each of your chromosomes) under the microscope.
Embryo Culturing
The incubation process of the fertilized egg/developing embryo is termed embryo culture. Normally, a number of important nutrients secreted by the fallopian tubes and uterus help the fertilized egg to divide and develop into an embryo. In previous years, embryos were cultured until post-fertilization day 2-3, where cleavage-stage embryos (morula) were transferred back into the uterus. The day of retrieval is considered day 0. Now, with more reliable culture media, extended culture to day 5-6 is a more reliable test of viability and can help us measure embryo quality, based on its morphology. The greatest benefit of extended culture, is the increased implantation rate with a Day 5/6 blastocyst compared to a morula.
At this point in time, embryo biopsy is performed if doing PGT or collapsed and frozen for later transfer. At IVF Phoenix™, we mainly have opted for frozen embryo transfers, however the decision to transfer a fresh vs. frozen embryo will differ based on your specific clinical picture. You will be contacted with updates throughout this process to provide you with a fertilization report, and progression of your embryos to blastocyst stage.
Assisted Hatching:
Hatching from the shell (zona pellucida) of the blastocyst is a naturally occurring processed to allow the embryo to implant into the endometrium (the uterine lining). Assisted hatching refers to a range of lab techniques used to thin the zona or create an opening. Most commonly performed is laser-assisted hatching which is reported to yield better results. This technique helps to improve implantation rates and therefore pregnancy rates for select cases.
Indications for assisted hatching includes:
- Advanced maternal age, 37 + years old
- Two or more previously failed IVF cycles
- Embryos with a thick zona pellucida
- Poor embryo morphology
- Cytoplasmic fragmentation
- Embryo Biopsy
Risks of assisted hatching, although small, include damage to the embryo and multiple gestations (twins, triplets, etc.) though the increased risk of miscarriage has not been observed.
The Embryo Transfer
As mentioned above, the embryo transfer may involve a fresh or frozen embryo. In a fresh embryo transfer, you will return 5-6 days following your retrieval, and any remaining embryos are flash frozen and stored in a nitrogen tank for future use. In a frozen embryo transfer, all embryos are frozen on day 5-7 and you will return to the office at your next cycle to begin preparation of your uterine lining to prepare it for transfer. Depending on your situation and inflammation markers, this may require additional preparation before we recommend moving to a programmed FET cycle vs a modified natural cycle. Once the consistency and thickness of your lining is optimal, your embryo transfer is scheduled and the healthiest appearing embryo (or euploid embryo if PGT tested) is thawed and prepared for transfer.
The day of your embryo transfer, you will arrive to the clinic with a full bladder. A speculum is placed into your vagina, your cervix is cleared of any mucus and an ultrasound is used to help guide entry of the catheter containing the embryo close to the top of the uterus where the embryo is gently placed. The catheter is checked under the microscope by the embryologist to confirm correct placement of the embryo. This is where the waiting begins! You will return 5 days later for a blood draw to measure the pregnancy hormone hCG and progesterone. Then 11 days later after embryo transfer.
Embryo Transfer Guidelines, elective Single Embryo Transfer (eSET)
The ultimate goal of IVF is to maximize your chance of pregnancy, while minimizing your risk of multiple gestation (twins, triplets or higher order pregnancy). This means, the large majority of patients will only have one embryo transferred at a time. With improved embryologic techniques in the lab, pregnancy rates are significantly higher after blastocyst transfer. The primary reason for wanting lower rates of multiple gestations is the significantly increased rates of pregnancy related complications including miscarriage, premature delivery, long term disabilities in the child, gestational hypertension, gestational diabetes, preeclampsia, etc. Per ASRM guidelines, in patients >37 years of age who did not do PGT, or those at any age without a favorable prognosis, an additional embryo may be transferred. This decision will be made based on your individual clinical scenario.
Following your embryo transfer, best rest (is not recommended, as this has been shown to reduce pregnancy rates. You can continue to live life as you normally do with light exercise, intercourse, and well balanced nutrition. The only lifestyle change that is absolutely necessary, is continued supplementation with specific recommendations and your hormonal stimulation protocol!
ICSI
This assisted reproductive technique was developed to help bypass the need for sperm to penetrate the shell of the egg (called the zona pellucida). The primary indication for ICSI includes male factor infertility, as it significantly improves fertilization rates. Threshold semen parameters at IVF Phoenix includes sperm concentration <5 million/mL, motility <5%, and largely abnormal shape of the sperm. It is also indicated for preimplantation genetic testing (PGT), to help reduce contamination from other sperm when performing the embryo biopsy for genetic evaluation (because conventional insemination can result in extra sperm attaching to the outer shell of the egg) as well as for fertilization of cryopreserved eggs, since the freeze-thaw cycle causes the shell to harden, making it difficult for sperm to penetrate.
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FAQs
A response to ovarian stimulation depends on a number of different factors, the most important include available eggs, appropriate hormone levels, proper administration of any medications and lifestyle/environmental factors.
In order to respond to ovarian stimulation, a woman must have eggs available to respond; this is sometimes referred to as ovarian reserve. If a woman has diminished ovarian reserve (identified by high blood levels of follicle stimulation hormone (FSH), low blood levels of Anti Müllerian Hormone (AMH) or a low antral follicle count on ultrasound), she may not have as robust (or any) response to stimulation. For these patients, an alternate stimulation protocol may be tried or donated eggs may be used (from a woman known or unknown to the patient).
It is possible that a woman does have the necessary eggs but lacks the appropriate pituitary hormones to respond. In this case, using a different medication- one which may contain both FSH and luteinizing hormone (LH) may allow for an optimal response.
Lifestyle factors can also affect a woman’s response to stimulation. Optimizing weight, diet and stress and cessation of use of tobacco, alcohol and recreational substances can also improve a response to ovarian stimulation.
Photo ID: For your safety, IVF Phoenix™ requires that all patients provide photo identification prior to undergoing any surgical procedure within our facilities.
Responsible Adult: It is our responsibility to insure that you get home safely after your procedure, post- anesthesia. Therefore, you must have a responsible adult, over the age of 18, with whom you have a relationship, accompany you to this surgical appointment. They must stay at the center during your procedure, and be available to take you home after you are discharged. If both you and your partner are having procedures on the same day, we require a 3rd party be available to drive the couple home. We prefer that this person also be available to make sure that you are doing well once you get settled in your home.
No Children: Children are not allowed in the practice on the day of your procedure. Please arrange for childcare prior to arrival. Unfortunately, children cannot be brought with you to your surgical procedure at any time or under any circumstances.
Preparing for My Surgical Procedure with Anesthesia
Diet: Conscious sedations is used in our surgical procedures. If you have never been sedated before, there are important things to remember. For your safety, one important rule is to ensure that you do not eat or drink anything after midnight the night before your procedure. If you have a specific medical condition or special situation, please discuss with your nurse before this time frame.
Appropriate Clothing: Patients should follow these guidelines:
- Wear comfortable clothes
- No jewelry
- No perfume
- Refrain from makeup
- No contact lenses
Semen Collection
For most patients arriving to the practice for their egg retrieval, a semen sample will be required by the Embryology Team in order to fertilize the egg(s) after your procedure. Male partners are encouraged to collect their sample at home prior to arriving for the retrieval. Once you arrive, please inform the Reception Desk staff that you have your sample so they can notify the Embryology Team. If you are traveling more than one and a half hours to the practice, you may collect a sample in our offices after you arrive. The period of abstinence from ejaculation is 3 days and no more than 4 days, as sperm DNA fragmentation increases with longer abstinence.
Arrival and Departure for Surgical Procedures
Patients should arrive 90 minutes before your scheduled procedure, or as instructed by your nurse. After checking in at the Reception Desk, the clinical team will bring you and your partner back to the procedure area. Your nurse will check your photo ID, review your recent food and beverage consumption and have you change into a surgical gown. Next, you will meet your Nurse Anesthetist, who will start an IV (intravenous) in your arm for medication administration. The office will review your medical history before beginning your sedation medication. During your procedure, your partner or accompanying adult will wait in the Reception Area. Most of the procedures are completed within 30 minutes. Most of our patients take about 30-60 minutes to recover before they return home. We find that our patients recover best when they are in a familiar, comfortable place usually in their home. From start to finish, patients should expect to be at the practice for 2½ to 3 hours.
IVF Phoenix™ requires out of town egg donors or recipients to visit our clinic initially, then if coordinated efficiently and if there is good offsite monitoring, we can expect the patient, to be seen by us at the end of the stimulation cycle, or at the peak of estrogen administration for endometrial development. Unlike many other clinics, mock cycles are not necessarily required. Depending on your circumstances, you will most likely need to be here for five to nine days. This is something your donor egg/ART coordinator will help determine.
One option that some couples choose is to have the male partner visit IVF Phoenix™ for sperm collection prior to the couple’s visit for the woman’s cycle. This option requires the man to travel to IVF Phoenix™ one time, and the couple to travel to IVF Phoenix™ one time.
Yes, but you should refrain from high-impact exercise and opt for workouts such as walking, swimming, yoga, or cycling during IVF treatment. Leading up to the beginning of the IVF cycle you may exercise as you normally do, but as you get closer to the egg retrieval we will ask that exercise be modified for health and safety reasons.
We won’t know the exact date of egg retrieval until two days prior to the procedure. We typically estimate it about 12-15 days from the start of your superovulation medications.
Testimonials
My husband and I are so thankful for Dr. Couvaras and staff. We were struggling to have a family and stumbled across the IVF Phoenix website. We are from Canada and the staff was fantastic to deal with and very accommodating to work with. We always had support no matter what time of the day. We now have the most perfect beautiful little boy to complete our family!!! So grateful and blessed!!!
Dr. Courvaras is the best there is in the infertility world!! Our first baby is here because of him and his team. Our baby is 17 and will be graduating from high school in less than a month!! We have never forgotten him and the gift he helped us have!!
From the moment we met Dr. Couvaras, My husband and I felt totally comfortable, secure, and well informed. Additionally, the nurses and staff at IVF Phoenix provided prompt, efficient care with both expertise and patience. Whether ordering prescriptions, educating me on how to properly administer medications or explaining options and probable outcomes of specific treatment protocols, Dr. Couvaras, and his team were simply remarkable. I never felt alone, and appreciated the close guidance they provided throughout our entire treatment. I couldn’t be happier with the results! My husband and I are now 12 weeks pregnant, and are absolutely thrilled! I would recommend Ivf Phoenix to anyone who is interested in finding the cause of their infertility. We love and appreciate everyone at Ivf Phoenix, they are a 2nd family to us. We still can’t thank them enough for making our dreams come true!
This is hands down the BEST fertility clinic in all of Az. Dr. Couvaras and Rhoda are amazing!! Not only are they compassionate and helpful beyond expectations they really look at the whole body and systems and get to the root of the problem. If you are even thinking about fertility go see this place first!
The staff and Dr. Couvaras were so kind and understanding. They called me by name as soon as I walked in. Dr. Couvaras was incredibly knowledgeable and knew from the first visit what was going on and after tests came back he was 100% right. He was informative, personable and took care of my health needs as a priority. I never felt left on the back burner. Innovative for sure because now I have 3 amazing children!
IVF Bundled Packages
(Self Pay)
IVF WITH FRESH EMBRYO TRANSFER
$5800
Includes:
Excludes:
IVF WITH FROZEN EMBRYO TRANSFER
$7250
Includes:
Excludes:
IVF WITH BIOPSY & FROZEN EMBRYO TRANSFER
$9500
Includes:
Excludes:
* Once you have completed your consultation with one of our providers, we would be happy to customized a multi-cycle package for you if you are considering embryo banking.
Services
Confused about the next steps to successfully conceive and carrying to live birth?
Partner Insurance
Please note that the following listed insurance companies are those that we currently partner with. Please call your insurance provider and check to see if your treatment or procedure will be covered.
IVF Phoenix™ is proud to be a Center of Excellence with United Healthcare/Optum
Arizona Foundation (AZFMC)
Blue Cross Blue Shield
Aetna
Zelis
Humana
WebTPA
MultiPlan
Banner Aetna
Bright Health Care
GEHA
Gilsbar
Cigna
UHC All Savers
Medica & Mayo Medical Plan
Meritain
AmeriBen
Private Healthcare Systems
TRICARE
UMR
Liberty Healthshare